HomeMy WebLinkAboutMortgage_Topper (2) 49,5r,gr STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
-•`"?.':'., FOR DEDUCTION FROM ASSESSED VALUATION
v. ,_ 2020
a •`�:= €s-: State Form 43709(R14/1-20) .5V�
+� ..` File Mark
a�,_::.f Prescribed by Dep ent of Local Government finance
rats
INSTRUCTIONS: k l` 2 J ?. �
To be filled in person or by mail. rm file with:
Filing Dates: Form must be comp! to nd dated in the calend ear r which the d ductio is sought.
Must be filed or postmarked with the County Audit r or County Recorder of the county where the
property is located on or before January 5 of the calendar year in which the property taxes ae first due County Auditor
and payable. 0 County Recorder
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
Chad W.Topper and Staci M.Topper
Taxing District Key number legal desc' fon /115 S.2nd Ave., Haubstadt Indiana 47639 Record number Page number
- 2� tq-`�-3O( 000 Za A-009 . go- 55
Assessed value of real property as of Mortgage/C ntract Indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is a applicant the sole
assessment date,current year assessment date,current year date of application leg I equitable owner?
$119,000.00 Yes 0 No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with who
If name on record is different than that of applicant,indicate below: e property in question: Annually Assessed
Real Property 0 Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller F
IR
-IEvansville Teachers Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
4401 Theater Drive, Evansville, IN 47715 NOV 2 y 2020
Name of assignee or other owner or holder of mortgage •
_i
Address of assignee(number and street,city,state,and ZIP code) _ /jf_- ' a4
AO
IIITOR
Does applicant own property in any If yes,what county? What Taxing Dis� SO Has his de uctiol been requested If yes,state amount of
other county on property r deduction
in Indiana? 0 Yes 0 No current year? Yes 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or co t indebtedness that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)th is e basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20 20 20
Signature my Au 't r County ` Date(Ton dayIto
I/We ce I under t e penalt ury that the above a d oregoing information is true and correct and tha a appl cant is a resident of Indiana
and owner/contract buyer of the aforementioned property date application is filed.
��Signaturq'(�w er tilll,n me) I lie(rp clay yea
(l��lj_Ioj� r s of a icant(number and street,city,sta a ZIP code) / I `/
Full resident address
115 S 2nd Ave., Haubstadt, IN 47639
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 'Date(month,day,year)
Address of authorized person(number and street,city,state,and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.